Active NPI
Katie M Wyss LMSW, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ann Arbor, MI
National Provider Identifier
1558978593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KATIE M WYSS LMSW, LLC
- Practice address
- 218 N 4TH Ave Ste 207
Ann Arbor, MI 48104-1472 - Phone
- (734) 926-9189
- NPI assigned
- Sep 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Millis Wyss, LMSW
- Title
- Owner
- Phone
- (734) 926-9189
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
218 N 4TH Ave Ste 207
Ann Arbor, MI 48104-1472
Mailing address
428 Shiloh Drive
Chelsea, MI 48118
Phone (734) 926-9189
Other practice location 1
428 Shiloh Drive
Chelsea, MI 48118
Phone (734) 926-9189
National Provider Directory
National Provider DirectoryLocations
218 N 4th Ave
Ste 207
Ann Arbor, MI 48104
Phone (734) 926-9139
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1437593324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614902400000",
"number": "1558978593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 SHILOH DRIVE",
"city": "CHELSEA",
"state": "MI",
"postal_code": "48118",
"telephone_number": "734-926-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 N 4TH AVE STE 207",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041472",
"telephone_number": "734-926-9189"
}
],
"practiceLocations": [
{
"address_1": "428 Shiloh Drive",
"address_purpose": "LOCATION",
"city": "Chelsea",
"state": "MI",
"postal_code": "48118",
"country_code": "US",
"telephone_number": "734-926-9189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KATIE M WYSS LMSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-24",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A",
"authorized_official_last_name": "WYSS",
"authorized_official_first_name": "KATIE",
"authorized_official_middle_name": "MILLIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-926-9189",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.